Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.42 / $1,799.10 / $5,449.00	Facility		$187.42	$1,799.10	$5,449.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.10 / $606.10 / $13,652.00	Facility		$606.10	$606.10	$13,652.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $187.42 / $294.35 / $346.73	Facility		$187.42	$294.35	$346.73
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $58.87 / $58.87 / $87.55	Facility	80	$58.87	$58.87	$87.55
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $36.72 / $41.21 / $61.28	Facility	AS	$36.72	$41.21	$61.28
United Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $896.00 / $2,229.00	Facility		$117.00	$896.00	$2,229.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $2,990.54 / $3,569.02 / $5,000.00	Facility		$2,990.54	$3,569.02	$5,000.00
Wellcare Facility/Professional Facility Modifier 62 Low / Median / High Price $196.08 / $342.53 / $676.58	Facility	62	$196.08	$342.53	$676.58
Wellcare Facility/Professional Facility Modifier AS Low / Median / High Price $31.37 / $54.80 / $108.25	Facility	AS	$31.37	$54.80	$108.25